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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370856
Report Date: 10/25/2024
Date Signed: 05/16/2025 09:23:28 AM

Document Has Been Signed on 05/16/2025 09:23 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:MAOF/SSA TUSTIN FAMILY CAMPUS ECECFACILITY NUMBER:
304370856
ADMINISTRATOR/
DIRECTOR:		QUINTANILLA, ELIZABETHFACILITY TYPE:
850
ADDRESS:15405 LANDSDOWNE ROADTELEPHONE:
(714) 566-2870
CITY:TUSTINSTATE: CAZIP CODE:
92782
CAPACITY: 16TOTAL ENROLLED CHILDREN: 3CENSUS: 3DATE:
10/25/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:DIrector-Elizabeth QuintanillaTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 10/25/2024 at 1:30PM Licensing Program Analyst (LPA), Navar conducted an on site inspection for the purpose of a 3 Year Inspection. LPA and Director Elizabeth Quintanilla toured the facility inside and outside. Census was taken in each individual classroom. LPA observed a total of 3 preschool age children with 2 staff.
During the inspection it was determined the facility is operating within its licensed capacity and within compliance with staffing ratios. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Facility hours are Monday through Friday, 8 AM to 4 PM. Sign in/out procedure was reviewed for compliance. The person who signs the child in and out uses their full legal signature and records the time of the day.

During the inspection of the indoor activity space, LPA did not observe any items which could pose a danger to children (poisons, detergents, cleaning compounds, medications, or hazardous items). The director stated that there are no firearms and/or other dangerous weapons in the facility; none were observed during the inspection. Director did inform LPA that there is a Sheriff who is outside the preschool door that leads to the office who does have a weapon and if needed would come into the facility. The facility provides age-appropriate toys, play equipment, and materials for the clients served. There is filtered drinking water available indoors for children in care by the means of water jugs that get delivered every 2 weeks by Pure Life. Cups are provided to children in care. The children's bathrooms are clean and sanitary. Children nap on cots if they choose to sleep, and bedding is stored individually, and facility washes blankets weekly. Continue to page 2.
NAME OF LICENSING PROGRAM MANAGER: Judy Hanson
NAME OF LICENSING PROGRAM ANALYST: Karen Navar
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MAOF/SSA TUSTIN FAMILY CAMPUS ECEC
FACILITY NUMBER: 304370856
VISIT DATE: 10/25/2024
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Food is prepared on site. AM snack, lunch and PM snacks are provided. The food prep area was observed to be clean and sanitary. Food is properly stored. Menus were posted where they could be reviewed by parents. Floors, equipment, and furniture were clean and were observed to be in good repair and free of sharp edges.

The facility has conducted an emergency drill within the past six months, last conducted on 10/23/2024. The facility has a working carbon monoxide detector and fire alarm. Facility met all posting requirements. The California Child Passenger Safety Law was posted by the entrance of the facility.

The outdoor activity space was inspected for compliance. The playground was enclosed by a fence at least four feet in height. The surface of the outdoor activity space was well maintained and free of hazards. The rubber cushioning material appeared to be enough to absorbs falls on this date. Drinking water in the outdoor activity space is provided by water jugs. Director stated that each classroom has their own water jug and provides cups for children to use. The outdoor equipment and toys were in good repair and free of sharp edges. There are no bodies of water present at the facility. The facility grounds were safe, sanitary and in good repair.

LPA reviewed the Entrance Checklist: Child Care Centers with Director. For child’s records, personnel records, administrative records, and documents to be posted.


Staff files were reviewed for staff present during the facility inspection this date; 2 staff files were reviewed. Health screening and immunization's as required were reviewed. Beginning September 1, 2016, Health, and Safety (H&S) 1597.622 states, a person shall not be employed or volunteer at a childcare center if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis and measles for staff were reviewed and within compliance.

Beginning March 31, 2018, H&S Code 1596.8662 requires all directors and employees to complete Mandated Reporting Training, and to renew the training every two years. All staff had Mandated Reporter Training completed and none were expired. Staff present possesses current EMSA approved Pediatric CPR/First Aid certifications, which expires 3/2026. Continue to page 3.
NAME OF LICENSING PROGRAM MANAGER: Judy Hanson
NAME OF LICENSING PROGRAM ANALYST: Karen Navar
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MAOF/SSA TUSTIN FAMILY CAMPUS ECEC
FACILITY NUMBER: 304370856
VISIT DATE: 10/25/2024
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3 Children's records were reviewed, and there was a separate, complete, and current record for each child. A random sample children's files were reviewed for documentation of the child’s name, address, and telephone number of the child’s authorized representative and of relatives or others that can assume responsibility for the child if the authorized representative cannot be reached when necessary (LIC 700) and a medical assessment. In the areas reviewed the children’s files were found to be in full compliance.

LPA verified CCC COMPLETED LEAD TESTING ON 10/20/2022 and NO LEAD EXCEEDANCES: Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21- 21.1-CCP.



LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep web page at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and- resources/safe-sleep as an additional resource. LPA also informed Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment

LPA and Director reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. Director stated there are no children in care on this date who take medication. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

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NAME OF LICENSING PROGRAM MANAGER: Judy Hanson
NAME OF LICENSING PROGRAM ANALYST: Karen Navar
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MAOF/SSA TUSTIN FAMILY CAMPUS ECEC
FACILITY NUMBER: 304370856
VISIT DATE: 10/25/2024
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Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care- licensing/caregiver-background-check/guardian



In the areas that were evaluated, no deficiencies were observed in the California Code of Regulations, Title 22, Division 12 at the time of the visit.

Exit interview conducted and report was reviewed with Director-Elizabeth Quintanilla. A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with postal requirements shall result in an immediate civil penalty of $100.



Appeal Rights discussed. The Director was provided with a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.
NAME OF LICENSING PROGRAM MANAGER: Judy Hanson
NAME OF LICENSING PROGRAM ANALYST: Karen Navar
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024
LIC809 (FAS) - (06/04)
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